四川省死因监测点伤害死亡变化趋势

Trend of Death by Injury in Death Cause Surveillance Areas in Sichuan

目的掌握四川省死因监测点1989-2008年伤害死亡变化趋势。方法应用1989-2008年四川省死因监测资料,对伤害死亡及其构成比进行趋势变化分析。结果1989-2008年,四川省死因监测地区伤害死亡一直位居总死因的第4位,各年度构成比占总死因构成的比例在6.14%10.01%之间;总标化死亡率由1989年的63.28/10万下降到2008年的43.83/10万,平均下降速度1.91%,标化死亡率男性(68.74/10万)高于女性(40.43/10万),农村(65.36/10万)高于城市(51.29/10万);但男性和女性、城市和农村的粗死亡率、标化率均呈下降趋势(P<0.01);居前6位的伤害种类为自杀、交通事故、淹死(溺水)、意外跌落、中毒、其他意外事故和有害效应;运输事故呈上升趋势,平均增长速度为13.59%。结论四川省监测地区伤害死亡水平呈下降趋势,在女性群体和城市中较为显著,伤害死亡种类主要为自杀、交通事故、运输事故、淹死(溺水)、意外跌落、中毒等。

Objective To find out the trend of death by injury in death cause surveillance areas in Sichuan from 1989 to 2008. Methods The analysis on the trend of death by injury and its constituent were conducted by using death surveillance data in Sichuan. Results During 1989 -2008, injury was the fourth leading cause of death in the death cause surveillance areas. The annal proportion of injury to the total death causes ranged from 6. 14% to 10. 01%. The overall standardized mortality decreased from 63.28/ 100 000 in 1989 to 43.84/100 000 in 2008 with a annual decrease of 1.91%, the standardized mortality for male （68.74/ 100 000） was higher than that for female （40. 43/100 000）, and the standardized mortality in rural areas （65.36/100 000） was higher than that in urban areas （51.29/100 000）. The crude mortality and standardized mortality for male and female, in rural areas＇and in urban areas all decreased year by year （P 〈0. 01 ）. The first 6 injuries were suicide, traffic accident, drowing, unintentional falling down, poisoning, other unintentional accident and harmful effect. Transportation accident was increasing with a rate of 13.59%. Conclusion The death caused by injury was decreasing in the death cause surveillance areas in Sichuan, which was significant in females and in urban population. Most injury death were caused by suicide, traffic accident, transportation accident, drowing, unintentional fall down and poisoning.